老年患者肺部感染诱发心力衰竭的X线表现及临床特征研究

发布时间：2018-06-29 23:12

本文选题：老年患者 + 肺部感染　；参考：《中华医院感染学杂志》2014年14期

【摘要】：目的研究因肺部感染诱发心力衰竭患者的X线表现及其临床特征,为临床对肺部感染诱发心力衰竭的诊断和治疗提供依据。方法收集2011年12月-2012年12月医院收治的心力衰竭老年患者,分析患者发生心力衰竭诱因、临床特征、X线表现及感染菌型,采用SPSS20.0统计软件进行分析。结果心力衰竭老年患者152例,其中83例肺部感染,占54.61%;肺部感染诱发心力衰竭以左心力衰竭为主,临床表现肺部Up音为100.00%、浮肿为90.36%、肝肿大为90.36%、慢性咳嗽为87.95%;X线表现为心脏增大,斑片状阴影和(或)蝴蝶状阴影,肺透亮度降低等;痰培养结果感染病原菌依次为真菌38株占45.78%、革兰阳性菌31株占37.35%、革兰阴性菌14株占16.87%。结论老年患者心力衰竭的主要诱因为肺部感染,临床上可结合患者X线表现和其临床特征对老年人肺部感染诱发心力衰竭进行判断,并针对感染病原菌进行治疗。
[Abstract]:Objective to study the X-ray findings and clinical features of patients with heart failure induced by pulmonary infection, and to provide evidence for the diagnosis and treatment of heart failure induced by pulmonary infection. Methods aged patients with heart failure were collected from December 2011 to December 2012. The causes of heart failure, clinical features, X ray manifestations and bacterial type were analyzed by SPSS 20.0 software. Results 152 elderly patients with heart failure, 83 of them had pulmonary infection (54.61%), left heart failure was the main cause of pulmonary infection, the clinical manifestations of heart failure were up to 100.00m, 90.36% to swelling, 90.36% to hepatomegaly, 87.95% to chronic cough. The results of sputum culture were 38 strains of fungi (45.78%), 31 strains of Gram-positive bacteria (37.35%) and 14 strains of Gram-negative bacteria (16.87%). Conclusion Pulmonary infection is the main inducement of heart failure in elderly patients. Combined with X-ray findings and clinical features of the elderly patients, pulmonary infection induced heart failure in the elderly can be judged, and the pathogenic bacteria of infection can be treated.
【作者单位】：浙江省人民医院放射科;
【基金】：浙江省中医药科学研究基金资助项目(2013ZB019)
【分类号】：R563.1

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